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United for Ukraine
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 258808
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202408-0970-005
IC 258808
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-10-04 - No material or nonsubstantive change to a currently approved collection
2024-09-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
U4U Survey Final.docx
Other-Survey
U4U Survey Final.docx
Other-Survey
UAU Survey Final_UKR_copy.docx
Other-Translated Survey (Ukrainian)
UAU Survey Final_UKR_copy.docx
Other-Translated Survey (Ukrainian)
SSA Template - Formative for ACF Program Support_UHP Assessment 2-27-23.docx
Supporting Statement A
IC Document
SSA Template - Formative for ACF Program Support_UHP Assessment 2-27-23.docx
Supporting Statement A
IC Document
SSB Formative for ACF Program Support U4U survey 2-27-23.docx
Supporting Statement B
IC Document
SSB Formative for ACF Program Support U4U survey 2-27-23.docx
Supporting Statement B
IC Document
NonSub Change Request Template_ORR U4U Survey_fnl.docx
NonSub Change - Translated Survey (Ukranian)
IC Document
NonSub Change Request Template_ORR U4U Survey_fnl.docx
NonSub Change - Translated Survey (Ukranian)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
United for Ukraine
Agency IC Tracking Number:
ORR
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
U4U Survey Final.docx
Yes
Yes
Fillable Fileable
Other-Translated Survey (Ukrainian)
UAU Survey Final_UKR_copy.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
800
0
0
0
0
800
Annual IC Time Burden (Hours)
136
0
0
0
0
136
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
SSA Template - Formative for ACF Program Support_UHP Assessment 2-27-23.docx
02/28/2023
Supporting Statement B
SSB Formative for ACF Program Support U4U survey 2-27-23.docx
02/28/2023
NonSub Change - Translated Survey (Ukranian)
NonSub Change Request Template_ORR U4U Survey_fnl.docx
01/24/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.